Craniofacial morphology and obstructive sleep apnoea: a cephalometric analysis

作者: A. Hoekema , B. Hovinga , B. Stegenga , L. G. M. De Bont

DOI: 10.1046/J.1365-2842.2003.01130.X

关键词: CraniometrySkullRegression analysisMedicineCraniofacialDentistryMaxillaIntermaxillary RelationshipCephalometric analysisHyoid bone

摘要: The craniofacial morphology of 31 male patients diagnosed with obstructive sleep apnoea syndrome (OSAS) and 37 healthy subjects were compared using cephalometric evaluation lateral skull radiographs. aim was to evaluate which variables related discriminate between OSAS non-OSAS subjects. Sixteen measurements determined study the morphology. Differences in two groups analysed unpaired Student t-tests (significance level 0.05). A multiple regression analysis used joint predictive value selected variables. With regard five variables, significant differences observed (P < Data indicated a relatively anterior position maxilla, an increase mid-facial height more inferiorly located hyoid bone patient group. yielded model discriminating subjects, included one intermaxillary relationship. causal relationship is not sufficiently supported by our data. Presumably, discrimination

参考文章(27)
R L Horner, J A Innes, S A Shea, A Guz, M J Morrell, The effect of sleep on reflex genioglossus muscle activation by stimuli of negative airway pressure in humans. The Journal of Physiology. ,vol. 476, pp. 141- 151 ,(1994) , 10.1113/JPHYSIOL.1994.SP020118
I. G. Brown, N. Zamel, V. Hoffstein, Pharyngeal cross-sectional area in normal men and women Journal of Applied Physiology. ,vol. 61, pp. 890- 895 ,(1986) , 10.1152/JAPPL.1986.61.3.890
Alan R. Schwartz, Avram R. Gold, Norman Schubert, Alexandra Stryzak, Robert A. Wise, Solbert Permutt, Philip L. Smith, Effect of weight loss on upper airway collapsibility in obstructive sleep apnea. The American review of respiratory disease. ,vol. 144, pp. 494- 498 ,(1991) , 10.1164/AJRCCM/144.3_PT_1.494
J. E. Remmers, W. J. deGroot, E. K. Sauerland, A. M. Anch, Pathogenesis of upper airway occlusion during sleep Journal of Applied Physiology. ,vol. 44, pp. 931- 938 ,(1978) , 10.1152/JAPPL.1978.44.6.931
George E Anastassov, Norman Trieger, Edema in the upper airway in patients with obstructive sleep apnea syndrome. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology. ,vol. 86, pp. 644- 647 ,(1998) , 10.1016/S1079-2104(98)90197-4
Peter G. Miles, Peter S. Vig, Robert J. Weyant, Thomas D. Forrest, Howard E. Rockette, Craniofacial structure and obstructive sleep apnea syndrome--a qualitative analysis and meta-analysis of the literature American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 109, pp. 163- 172 ,(1996) , 10.1016/S0889-5406(96)70177-4
James J Lee, Sylvester G Ramirez, Michael J Will, None, Gender and racial variations in cephalometric analysis Otolaryngology-Head and Neck Surgery. ,vol. 117, pp. 326- 329 ,(1997) , 10.1016/S0194-5998(97)70121-9
Daniel L. Jones, Uwe Frohberg, Robert J. Naples, Cephalometric comparison of characteristics in chronically snoring patients with and without sleep apnea syndrome Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology. ,vol. 80, pp. 28- 33 ,(1995) , 10.1016/S1079-2104(95)80012-3
M Zucconi, L Ferini-Strambi, S Palazzi, C Orena, S Zonta, S Smirne, Habitual snoring with and without obstructive sleep apnoea: the importance of cephalometric variables. Thorax. ,vol. 47, pp. 157- 161 ,(1992) , 10.1136/THX.47.3.157
Robert W. Riley, Nelson B. Powell, Christian Guilleminault, Inferior mandibular osteotomy and hyoid myotomy suspension for obstructive sleep apnea: A review of 55 patients Journal of Oral and Maxillofacial Surgery. ,vol. 47, pp. 159- 164 ,(1989) , 10.1016/S0278-2391(89)80109-0